Provider Demographics
NPI:1467267732
Name:LAFRENIERE, JILLIAN MARIE (MSW)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:MARIE
Last Name:LAFRENIERE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:NORTH WALPOLE
Mailing Address - State:NH
Mailing Address - Zip Code:03609-1106
Mailing Address - Country:US
Mailing Address - Phone:603-903-2663
Mailing Address - Fax:
Practice Address - Street 1:39 SUMMER ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3318
Practice Address - Country:US
Practice Address - Phone:603-903-2663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical